CAJ | 학술논문

目的：探讨十二导联心电图远程实时动态监测系统对冠心病患者心律失常发生率及类型的临床诊断价值。方法：以2014年2月-2015年2月在广州军区广州总医院就诊并诊断为冠心病的169名患者为研究对象，所有患者行常规心电图检查后，应用十二导联心电图远程实时动态监测系统进行远程监护，采取自身对照，比较两种方法对房性早搏、室性早搏、房室传导阻滞、心房颤动等心律失常类型检出率的差异。结果：十二导联心电图远程实时动态监测系统检出131例患者存在一种或多种心律失常，总检出率为77.53%。其中一种、二种、三种及以上心率失常发生率分别为26.63%、33.73%、17.17%；一种心律失常、二种心律失常和三种心率失常的检出率明显高于常规心电图（P＜0.05）；十二导联心电图实时监测在房性早搏、室性早搏、短阵性房性早搏、短阵性室性早搏、房室传导阻滞检出率明显高于常规心电图（P＜0.05）。结论：十二导联心电图远程实时动态监测系统较常规心电图明显提高冠心病患者心律失常的诊断率。
목적：탐토십이도련심전도원정실시동태감측계통대관심병환자심률실상발생솔급류형적림상진단개치。방법：이2014년2월-2015년2월재엄주군구엄주총의원취진병진단위관심병적169명환자위연구대상，소유환자행상규심전도검사후，응용십이도련심전도원정실시동태감측계통진행원정감호，채취자신대조，비교량충방법대방성조박、실성조박、방실전도조체、심방전동등심률실상류형검출솔적차이。결과：십이도련심전도원정실시동태감측계통검출131례환자존재일충혹다충심률실상，총검출솔위77.53%。기중일충、이충、삼충급이상심솔실상발생솔분별위26.63%、33.73%、17.17%；일충심률실상、이충심률실상화삼충심솔실상적검출솔명현고우상규심전도（P＜0.05）；십이도련심전도실시감측재방성조박、실성조박、단진성방성조박、단진성실성조박、방실전도조체검출솔명현고우상규심전도（P＜0.05）。결론：십이도련심전도원정실시동태감측계통교상규심전도명현제고관심병환자심률실상적진단솔。
Objective: To study the clinical diagnostic value of the 12-lead electrocardiogram long-distance and real-time system for the incidence and type of arrhythmia in patients with Coronary Heart Disease. Method: there are 169 patients who had been diagnosed with Coronary Heart Disease in our hospital from 2014 to 2015. All the patients were checked by the electrocardiogram. Then we used the 12-lead electrocardiogram long-distance and real-time system to monitor the patients' situation. By the self-control, compare the different rate of the two methods to detect the arrhythmia type, like atrial premature beats, premature ventricular contractions, atrioventricular block, and atrial fibrillation, and so on. Result: There were 131 patients who had one or two types' arrhythmia detected by the 12-lead electrocardiogram long-distance and real-time monitoring system. The total detection rate was 77.53%. In which one, two, three or more arrhythmia occurrence rates were 26.63%, 33.73%, 17.17%. The detection rates of the one, two and three kind of arrhythmia were obviously higher than the normal electrocardiogram (P<0.05). The detection rates that using the 12-lead electrocardiogram long-distance and real-time monitoring system to monitor the atrial premature beats, premature ventricular contractions, paroxysmal atrial premature beats, paroxysmal ventricular premature beats, atrioventricular block were higher than the normal electrocardiogram (P<0.05), too. Conclusion: Compare to the normal electrocardiogram, the 12-lead electrocardiogram long-distance and real-time monitoring system can obviously improve the diagnosis rate of arrhythmia in patientswith coronary artery disease.